Yi Mou1, Hongze Zeng1, Qiming Wang1, Hang Yi1, Wei Liu1, Dingke Wen2, Chengwei Tang1, Bing Hu3. 1. Department of Gastroenterology, West China Hospital, Sichuan University, Guoxuexiang Street 37#, Chengdu, 610041, Sichuan, China. 2. West China School of Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, China. 3. Department of Gastroenterology, West China Hospital, Sichuan University, Guoxuexiang Street 37#, Chengdu, 610041, Sichuan, China. hubingnj@163.com.
Abstract
BACKGROUND: Surgery is currently the preferred treatment choice for mid-esophageal diverticula, while endoscopic therapy is rapidly establishing itself. METHOD: We report the first two cases of giant mid-esophageal diverticula presented with dysphagia successfully treated with per-oral endoscopic myotomy (POEM). RESULT: There were no complications during the procedure and the patients' conditions improved remarkably within short time of recovery. CONCLUSION: POEM could provide a safe, effective and less invasive treatment of mid-esophageal diverticula if appropriately used. Further studies on long-term efficacy with larger number of cases are necessary.
BACKGROUND: Surgery is currently the preferred treatment choice for mid-esophageal diverticula, while endoscopic therapy is rapidly establishing itself. METHOD: We report the first two cases of giant mid-esophageal diverticula presented with dysphagia successfully treated with per-oral endoscopic myotomy (POEM). RESULT: There were no complications during the procedure and the patients' conditions improved remarkably within short time of recovery. CONCLUSION: POEM could provide a safe, effective and less invasive treatment of mid-esophageal diverticula if appropriately used. Further studies on long-term efficacy with larger number of cases are necessary.
Authors: Lee L Swanstrom; Ashwin Kurian; Christy M Dunst; Ahmed Sharata; Neil Bhayani; Erwin Rieder Journal: Ann Surg Date: 2012-10 Impact factor: 12.969